Nursing HomeInspections

Harvest Acres Nursing and Rehab

Nursing home in Keota, IA

Medicare & Medicaid certified1★ overall (CMS)

Call (641) 636-3400Send a messageMap ↗

Public-record details

Address
204 North Keokuk Washington Road, Keota, IA 52248
Phone
(641) 636-3400
Listed under
For-profit
Medicare CCN
165355
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measures rating
2 of 5
Certified beds
35
Average residents per day
29
Ownership
For-profit, limited Liability company
Legal business name
Harvest Acres Nursing and Rehab, LLC
Chain
Cedar View Holdings (9 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Aug 1, 1997
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Sprinklers in all required areas
Yes

CMS certification number 165355. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Dec 11, 2025. CMS lists 50 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jan 23, 2024 to May 19, 2026): 23 from complaint inspections, 6 at the “actual harm” level or higher, including 4 at “immediate jeopardy”.

InspectionCitationSeverity
May 19, 2026Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
May 19, 2026Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
May 19, 2026Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
May 19, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
May 19, 2026Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
May 19, 2026Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of…
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
May 19, 2026Provide and implement an infection prevention and control program.
Infection Control · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 11, 2025Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights		D
Potential for more than minimal harm, isolated
Dec 11, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 11, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 11, 2025Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 11, 2025Provide and implement an infection prevention and control program.
Infection Control · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 50. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $136,500 in the last three years.

Nov 7, 2024Fine: $136,500

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.47 hours
Registered nurse (RN) time per resident per day
0.72 hours
Nurse aide time per resident per day
2.26 hours
Total nurse staffing on weekends
3.05 hours
Nursing staff turnover (yearly)
70%
RN turnover (yearly)
78%
Administrators who left in the past year
2

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.